(b)(6) 2016 - patient was implanted with the rns system including the neurostimulator, connected leads include a depth lead (dl) (left temporal heterotopia) and cortical strip lead cl ((b)(4), left parietal-superior).Not connected cl (sn (b)(4), left parietal inferior).(b)(6) 2016 - the patient presented to clinic on (b)(6) 2016 because he developed sudden onset right hand weakness on (b)(6) which progressively got worse over the next three days.Weakness presented as follows: right upper extremity weakness.He was unable to neither hold a toothbrush nor feel his hand.He came in and had numbness in his right 3rd, 4th, and 5th digit.Right upper extremity for his motor exam was all 4 out of 5 (deltoid, tricep, bicep, hand grip).He had reported that he had bumped his head on the tractor ((b)(6)) and had a mild headache thereafter with some scalp tenderness but no issues arose until (b)(6).He was taken to the or for exploratory surgery which revealed a small subdural hematoma found on top of one of the subdural strips.It is not clear if it was the connected or non-connected strip.The cortical strip leads were explanted, the left hippocampal depth electrode remains implanted, connected and programmed for detection and therapy.Total procedure was deemed a left craniotomy for subdural evacuation and wound exploration.The site was unable to determine the initial cause for the hematoma because of the sequence of events.The patient hit his head on (b)(6) 2016, they are unable to determine whether or not the hitting of the head or the electrode was the cause or provided exacerbation of the hematoma.(b)(6) 2016 - the patient was released from the hospital.The patient continues to be programmed for detection and treatment with the remaining implanted rns system.
|